Choose 37280 for the initial treated artery; 37281 identifies a qualifying additional straightforward artery in the tibial/peroneal territory.
On this page
CMS RVU26D · Effective 2026-10-01
37280 in Salinas
Office / nonfacility
$3036.00
Base rate per service
Facility setting
$428.77
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular intervention
About 37280: Tibial/peroneal angioplasty, straightforward lesion
Endovascular balloon angioplasty treats a straightforward lesion in an initial tibial or peroneal artery during lower-extremity revascularization.
This service uses an endovascular approach to widen a narrowed or occluded tibial or peroneal artery with balloon angioplasty. It is performed by vascular surgeons, interventional radiologists, or interventional cardiologists treating peripheral artery disease, including limb ischemia. The procedure is generally performed in a hospital or endovascular suite, with imaging used to guide treatment of the target artery. This code identifies the straightforward-lesion angioplasty service for the initial treated artery in this territory; it is not the code for a stent or atherectomy procedure.
Select the code based on the treated arterial territory, the documented lesion classification, the treatment performed, and whether this is the initial or an additional artery treated. The operative report should identify the tibial or peroneal target and describe the intervention and lesion. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 for a bilateral procedure is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37280
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.80 · 12%
- Practice expense (office) RVU68.64 · 85%
- Malpractice RVU2.31 · 3%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
37280 compared with similar codes
Office rates for Salinas, from the same CMS release.
Both describe angioplasty of the initial tibial/peroneal artery. The distinction is whether the treated lesion is classified as straightforward or complex.
37280 describes angioplasty for a straightforward lesion. 37284 is the corresponding initial-vessel option when the intervention is stent treatment.
37271 applies to straightforward angioplasty in the femoral/popliteal territory; 37280 is for the tibial/peroneal territory.
The same code, a different location
How does Salinas compare?
In Bakersfield, the office rate for 37280 is $2893.27—$142.73 lower than the $3036.00 rate in Salinas. Both use the same code, release and participation basis.
37280 across payment areas
Same release and payment basis · bars start at $0
Salinas · This locality
$3036.00
$2893.27
$142.73 lower than Salinas
$2886.98
$149.02 lower than Salinas
$2887.37
$148.63 lower than Salinas
$2886.98
$149.02 lower than Salinas
$2886.98
$149.02 lower than Salinas
$68.17 higher than Salinas
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 37280 ranges from $2336.44 in Arkansas to $3710.67 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Merced
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Modesto
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Napa
California · 37280
Office
$3408.84
Facility
$443.93
$372.84 higher than Salinas for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 37280
Office
$3094.46
Facility
$435.49
$58.46 higher than Salinas for the office setting.
Redding
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Rest Of California
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Riverside-San Bernardino-Ontario
California · 37280
Office
$2911.77
Facility
$446.26
$124.23 lower than Salinas for the office setting.
Sacramento-Roseville-Folsom
California · 37280
Office
$3046.81
Facility
$430.58
$10.81 higher than Salinas for the office setting.
San Diego-Chula Vista-Carlsbad
California · 37280
Office
$3120.96
Facility
$430.50
$84.96 higher than Salinas for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 37280
Office
$3626.46
Facility
$454.59
$590.46 higher than Salinas for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 37280
Office
$3623.84
Facility
$451.97
$587.84 higher than Salinas for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 37280
Office
$3710.67
Facility
$466.82
$674.67 higher than Salinas for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 37280
Office
$3699.95
Facility
$456.10
$663.95 higher than Salinas for the office setting.
San Luis Obispo-Paso Robles
California · 37280
Office
$2985.56
Facility
$423.33
$50.44 lower than Salinas for the office setting.
Santa Cruz-Watsonville
California · 37280
Office
$3161.11
Facility
$427.91
$125.11 higher than Salinas for the office setting.
Santa Maria-Santa Barbara
California · 37280
Office
$3051.07
Facility
$428.09
$15.07 higher than Salinas for the office setting.
Santa Rosa-Petaluma
California · 37280
Office
$3193.86
Facility
$431.42
$157.86 higher than Salinas for the office setting.
Stockton
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Vallejo
California · 37280
Office
$3405.06
Facility
$440.15
$369.06 higher than Salinas for the office setting.
Visalia
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Yuba City
California · 37280
Office
$2886.98
Facility
$421.47
$149.02 lower than Salinas for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 37280
Office
$3131.61
Facility
$481.64
$95.61 higher than Salinas for the office setting.
Miami
Florida · 37280
Office
$2909.09
Facility
$567.31
$126.91 lower than Salinas for the office setting.
Chicago
Illinois · 37280
Office
$2810.79
Facility
$550.00
$225.21 lower than Salinas for the office setting.
Manhattan
New York · 37280
Office
$3134.69
Facility
$520.71
$98.69 higher than Salinas for the office setting.
Alaska*
Alaska · 37280
Office
$2975.17
Facility
$579.39
$60.83 lower than Salinas for the office setting.
Alabama
Alabama · 37280
Office
$2377.06
Facility
$408.70
$658.94 lower than Salinas for the office setting.
Arkansas
Arkansas · 37280
Office
$2336.44
Facility
$404.08
$699.56 lower than Salinas for the office setting.
Arizona
Arizona · 37280
Office
$2614.94
Facility
$435.13
$421.06 lower than Salinas for the office setting.
Colorado
Colorado · 37280
Office
$2830.88
Facility
$437.36
$205.12 lower than Salinas for the office setting.
Connecticut
Connecticut · 37280
Office
$2896.41
Facility
$473.64
$139.59 lower than Salinas for the office setting.
Delaware
Delaware · 37280
Office
$2663.45
Facility
$440.90
$372.55 lower than Salinas for the office setting.
Fort Lauderdale
Florida · 37280
Office
$2789.27
Facility
$510.47
$246.73 lower than Salinas for the office setting.
Rest Of Florida
Florida · 37280
Office
$2635.06
Facility
$484.49
$400.94 lower than Salinas for the office setting.
Atlanta
Georgia · 37280
Office
$2750.30
Facility
$464.75
$285.70 lower than Salinas for the office setting.
Rest Of Georgia
Georgia · 37280
Office
$2464.33
Facility
$457.73
$571.67 lower than Salinas for the office setting.
Hawaii, Guam
Hawaii · 37280
Office
$2978.73
Facility
$420.99
$57.27 lower than Salinas for the office setting.
Iowa
Iowa · 37280
Office
$2455.72
Facility
$397.38
$580.28 lower than Salinas for the office setting.
Idaho
Idaho · 37280
Office
$2473.05
Facility
$403.46
$562.95 lower than Salinas for the office setting.
East St. Louis
Illinois · 37280
Office
$2591.95
Facility
$522.36
$444.05 lower than Salinas for the office setting.
Rest Of Illinois
Illinois · 37280
Office
$2541.10
Facility
$487.26
$494.90 lower than Salinas for the office setting.
Suburban Chicago
Illinois · 37280
Office
$2820.88
Facility
$510.59
$215.12 lower than Salinas for the office setting.
Indiana
Indiana · 37280
Office
$2490.10
Facility
$404.77
$545.90 lower than Salinas for the office setting.
Kansas
Kansas · 37280
Office
$2438.76
Facility
$405.17
$597.24 lower than Salinas for the office setting.
Kentucky
Kentucky · 37280
Office
$2436.08
Facility
$436.23
$599.92 lower than Salinas for the office setting.
New Orleans
Louisiana · 37280
Office
$2572.35
Facility
$455.52
$463.65 lower than Salinas for the office setting.
Rest Of Louisiana
Louisiana · 37280
Office
$2430.23
Facility
$439.38
$605.77 lower than Salinas for the office setting.
Metropolitan Boston
Massachusetts · 37280
Office
$3146.83
Facility
$460.86
$110.83 higher than Salinas for the office setting.
Rest Of Massachusetts
Massachusetts · 37280
Office
$2808.21
Facility
$439.43
$227.79 lower than Salinas for the office setting.
Baltimore/Surr. Cntys
Maryland · 37280
Office
$2888.01
Facility
$474.24
$147.99 lower than Salinas for the office setting.
Rest Of Maryland
Maryland · 37280
Office
$2721.58
Facility
$445.04
$314.42 lower than Salinas for the office setting.
Rest Of Maine
Maine · 37280
Office
$2484.55
Facility
$414.96
$551.45 lower than Salinas for the office setting.
Southern Maine
Maine · 37280
Office
$2648.02
Facility
$418.71
$387.98 lower than Salinas for the office setting.
Detroit
Michigan · 37280
Office
$2669.81
Facility
$498.99
$366.19 lower than Salinas for the office setting.
Rest Of Michigan
Michigan · 37280
Office
$2507.62
Facility
$453.78
$528.38 lower than Salinas for the office setting.
Minnesota
Minnesota · 37280
Office
$2709.29
Facility
$394.50
$326.71 lower than Salinas for the office setting.
Metropolitan Kansas City
Missouri · 37280
Office
$2555.50
Facility
$443.17
$480.50 lower than Salinas for the office setting.
Metropolitan St. Louis
Missouri · 37280
Office
$2587.23
Facility
$445.66
$448.77 lower than Salinas for the office setting.
Rest Of Missouri
Missouri · 37280
Office
$2378.73
Facility
$439.62
$657.27 lower than Salinas for the office setting.
Mississippi
Mississippi · 37280
Office
$2358.31
Facility
$421.45
$677.69 lower than Salinas for the office setting.
Montana**
Montana · 37280
Office
$2696.97
Facility
$447.42
$339.03 lower than Salinas for the office setting.
North Carolina
North Carolina · 37280
Office
$2515.66
Facility
$416.83
$520.34 lower than Salinas for the office setting.
North Dakota**
North Dakota · 37280
Office
$2651.29
Facility
$401.74
$384.71 lower than Salinas for the office setting.
Nebraska
Nebraska · 37280
Office
$2472.60
Facility
$396.26
$563.40 lower than Salinas for the office setting.
New Hampshire
New Hampshire · 37280
Office
$2781.48
Facility
$439.69
$254.52 lower than Salinas for the office setting.
Northern Nj
New Jersey · 37280
Office
$3089.81
Facility
$480.33
$53.81 higher than Salinas for the office setting.
Rest Of New Jersey
New Jersey · 37280
Office
$2928.62
Facility
$472.11
$107.38 lower than Salinas for the office setting.
New Mexico
New Mexico · 37280
Office
$2522.34
Facility
$459.50
$513.66 lower than Salinas for the office setting.
Nevada**
Nevada · 37280
Office
$2686.53
Facility
$434.73
$349.47 lower than Salinas for the office setting.
Nyc Suburbs/Long Island
New York · 37280
Office
$3217.50
Facility
$542.79
$181.50 higher than Salinas for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 37280
Office
$2945.86
Facility
$482.60
$90.14 lower than Salinas for the office setting.
Queens
New York · 37280
Office
$3169.43
Facility
$510.47
$133.43 higher than Salinas for the office setting.
Rest Of New York
New York · 37280
Office
$2559.58
Facility
$422.50
$476.42 lower than Salinas for the office setting.
Ohio
Ohio · 37280
Office
$2498.28
Facility
$444.44
$537.72 lower than Salinas for the office setting.
Oklahoma
Oklahoma · 37280
Office
$2434.60
Facility
$425.76
$601.40 lower than Salinas for the office setting.
Portland
Oregon · 37280
Office
$2937.09
Facility
$437.84
$98.91 lower than Salinas for the office setting.
Rest Of Oregon
Oregon · 37280
Office
$2665.04
Facility
$424.48
$370.96 lower than Salinas for the office setting.
Metropolitan Philadelphia
Pennsylvania · 37280
Office
$2811.90
Facility
$470.12
$224.10 lower than Salinas for the office setting.
Rest Of Pennsylvania
Pennsylvania · 37280
Office
$2504.88
Facility
$439.80
$531.12 lower than Salinas for the office setting.
Puerto Rico
Puerto Rico · 37280
Office
$2721.18
Facility
$446.89
$314.82 lower than Salinas for the office setting.
Rhode Island
Rhode Island · 37280
Office
$2770.67
Facility
$446.88
$265.33 lower than Salinas for the office setting.
South Carolina
South Carolina · 37280
Office
$2511.31
Facility
$432.72
$524.69 lower than Salinas for the office setting.
South Dakota**
South Dakota · 37280
Office
$2645.89
Facility
$396.34
$390.11 lower than Salinas for the office setting.
Tennessee
Tennessee · 37280
Office
$2452.77
Facility
$407.93
$583.23 lower than Salinas for the office setting.
Austin
Texas · 37280
Office
$2821.95
Facility
$441.93
$214.05 lower than Salinas for the office setting.
Beaumont
Texas · 37280
Office
$2485.31
Facility
$438.22
$550.69 lower than Salinas for the office setting.
Brazoria
Texas · 37280
Office
$2662.13
Facility
$432.83
$373.87 lower than Salinas for the office setting.
Dallas
Texas · 37280
Office
$2679.94
Facility
$439.39
$356.06 lower than Salinas for the office setting.
Fort Worth
Texas · 37280
Office
$2658.02
Facility
$439.96
$377.98 lower than Salinas for the office setting.
Galveston
Texas · 37280
Office
$2670.42
Facility
$436.62
$365.58 lower than Salinas for the office setting.
Houston
Texas · 37280
Office
$2712.70
Facility
$478.90
$323.30 lower than Salinas for the office setting.
Rest Of Texas
Texas · 37280
Office
$2572.71
Facility
$437.89
$463.29 lower than Salinas for the office setting.
Utah
Utah · 37280
Office
$2551.69
Facility
$437.12
$484.31 lower than Salinas for the office setting.
Virginia
Virginia · 37280
Office
$2635.46
Facility
$424.16
$400.54 lower than Salinas for the office setting.
Virgin Islands
United States Virgin Islands · 37280
Office
$2721.18
Facility
$446.89
$314.82 lower than Salinas for the office setting.
Vermont
Vermont · 37280
Office
$2636.08
Facility
$409.03
$399.92 lower than Salinas for the office setting.
Rest Of Washington
Washington · 37280
Office
$2804.45
Facility
$435.67
$231.55 lower than Salinas for the office setting.
Seattle (King Cnty)
Washington · 37280
Office
$3219.80
Facility
$459.60
$183.80 higher than Salinas for the office setting.
Wisconsin
Wisconsin · 37280
Office
$2547.44
Facility
$392.37
$488.56 lower than Salinas for the office setting.
West Virginia
West Virginia · 37280
Office
$2430.04
Facility
$475.18
$605.96 lower than Salinas for the office setting.
Wyoming**
Wyoming · 37280
Office
$2677.06
Facility
$427.51
$358.94 lower than Salinas for the office setting.
See how rates vary across the country
37280 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$2,336.44
$3,298.83
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $2,975.17 | 1 |
| AL | $2,377.06 | 1 |
| AR | $2,336.44 | 1 |
| AZ | $2,614.94 | 1 |
| CA | $2,886.98–$3,710.67 | 29 |
| CO | $2,830.88 | 1 |
| CT | $2,896.41 | 1 |
| DC | $3,131.61 | 1 |
| DE | $2,663.45 | 1 |
| FL | $2,635.06–$2,909.09 | 3 |
| GA | $2,464.33–$2,750.30 | 2 |
| GU | $2,978.73 | 1 |
| HI | $2,978.73 | 1 |
| IA | $2,455.72 | 1 |
| ID | $2,473.05 | 1 |
| IL | $2,541.10–$2,820.88 | 4 |
| IN | $2,490.10 | 1 |
| KS | $2,438.76 | 1 |
| KY | $2,436.08 | 1 |
| LA | $2,430.23–$2,572.35 | 2 |
| MA | $2,808.21–$3,146.83 | 2 |
| MD | $2,721.58–$3,131.61 | 3 |
| ME | $2,484.55–$2,648.02 | 2 |
| MI | $2,507.62–$2,669.81 | 2 |
| MN | $2,709.29 | 1 |
| MO | $2,378.73–$2,587.23 | 3 |
| MS | $2,358.31 | 1 |
| MT | $2,696.97 | 1 |
| NC | $2,515.66 | 1 |
| ND | $2,651.29 | 1 |
| NE | $2,472.60 | 1 |
| NH | $2,781.48 | 1 |
| NJ | $2,928.62–$3,089.81 | 2 |
| NM | $2,522.34 | 1 |
| NV | $2,686.53 | 1 |
| NY | $2,559.58–$3,217.50 | 5 |
| OH | $2,498.28 | 1 |
| OK | $2,434.60 | 1 |
| OR | $2,665.04–$2,937.09 | 2 |
| PA | $2,504.88–$2,811.90 | 2 |
| PR | $2,721.18 | 1 |
| RI | $2,770.67 | 1 |
| SC | $2,511.31 | 1 |
| SD | $2,645.89 | 1 |
| TN | $2,452.77 | 1 |
| TX | $2,485.31–$2,821.95 | 8 |
| UT | $2,551.69 | 1 |
| VA | $2,635.46–$3,131.61 | 2 |
| VI | $2,721.18 | 1 |
| VT | $2,636.08 | 1 |
| WA | $2,804.45–$3,219.80 | 2 |
| WI | $2,547.44 | 1 |
| WV | $2,430.04 | 1 |
| WY | $2,677.06 | 1 |
Where does this rate apply?
Salinas is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 37280 in Salinas, the physician’s office rate is $3036.00 and the facility-setting rate is $428.77: a difference of $2607.23.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 37280 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$3339.60
$3036.00 × 110% = $3339.60
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 37280 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
4,640
- Code
- 37280
- Physician work
- 9.80
- Practice expense
- 68.64
- Malpractice
- 2.31
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.031 | 10.1038 |
| Practice expense | 68.64 | × 1.159 | 79.5538 |
| Malpractice | 2.31 | × 0.536 | 1.2382 |
| Total RVUs | 90.8957 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Salinas$3036.00
Open 37280 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1.031 |
| Practice expense | 68.64 | 1.159 |
| Malpractice | 2.31 | 0.536 |
(9.8 × 1.031 + 68.64 × 1.159 + 2.31 × 0.536) × $33.4009 = $3036.00
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1.031 |
| Practice expense | 1.29 | 1.159 |
| Malpractice | 2.31 | 0.536 |
(9.8 × 1.031 + 1.29 × 1.159 + 2.31 × 0.536) × $33.4009 = $428.77
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
37280 · Office / nonfacility
$3036.00
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
No ratechanged to$3036.00
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: No rate
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $3036.00 | $428.77 | RVU26D |
| 2026-07-01 | $3036.00 | $428.77 | RVU26C |
| 2026-04-01 | $3036.00 | $428.77 | RVU26B |
| 2026-01-01 | $3036.00 | $428.77 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
37280 billing questions
How is 37280 different from 37281?
37280 is for angioplasty of the initial tibial or peroneal artery when the lesion is straightforward. Use 37281 for the qualifying additional artery in the same territory.
When should 37282 be considered instead?
37282 is for the initial tibial or peroneal artery when the lesion meets the complex classification. Use the documented lesion characteristics and applicable CPT guidance to determine the classification.
Is 37280 the code when a stent or atherectomy is performed?
No. This code describes angioplasty; the tibial/peroneal code family has separate options for stent and atherectomy treatment. Select the code that matches the intervention performed.
How many units are reported when more than one artery is treated?
37280 identifies the initial treated artery, not each artery treated. For a qualifying additional artery, use the corresponding additional-vessel code rather than repeating 37280.
What should the procedure note establish?
Document the tibial or peroneal target artery, lesion classification, angioplasty performed, and whether it was the initial or an additional treated artery.
How does Medicare handle bilateral reporting and other procedures in the session?
CMS pays a bilateral procedure reported with modifier 50 at 150%. The standard multiple-procedure reduction applies when other procedures are performed in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
